Scott Joseph Mango, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704206863 Issued in MI

Practice address

4000 Wellness Dr
Midland, MI 48670-2000

Phone

(989) 839-3000

NPI assigned

Sep 19, 2013

Last updated

Apr 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mymichigan Medical Center Clare

  • Certified Registered Nurse Anesthetist
  • Clare, MI
  • NPI 1417084278

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mymichigan Medical Center Gladwin

  • Critical Access Hospital
  • Gladwin, MI
  • NPI 1235248071
  Medicare reassignment NPD
• Mymichigan Medical Center Gladwin

  • General Practice Physician
  • Gladwin, MI
  • NPI 1881869774
  Medicare reassignment NPD
• Mymichigan Medical Center Midland

  • Certified Registered Nurse Anesthetist
  • Midland, MI
  • NPI 1770668683

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mymichigan Medical Center West Branch

  • General Acute Care Hospital
  • West Branch, MI
  • NPI 1538566765
  Medicare reassignment NPD
• Midland Pathology Associates, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Midland, MI
  • NPI 1487747473
  NPD
• Mymichigan Medical Center Clare

  dba MidMichigan Urgent Care - Clare

  • Urgent Care Clinic/Center
  • Clare, MI
  • NPI 1225081862
  NPD
• Mymichigan Medical Center Midland

  • Anesthesiology Physician
  • Midland, MI
  • NPI 1649010455
  NPD
• Mymichigan Medical Center West Branch

  dba MidMichigan Medical Center- West Branch

  • Family Medicine Physician
  • West Branch, MI
  • NPI 1518418292
  NPD
• Mymichigan Medical Center West Branch

  • Certified Registered Nurse Anesthetist
  • West Branch, MI
  • NPI 1982247482

  Nurse Anesthetist, Certified Registered

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1720414949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "844-832-1956",
            "fax_number": "989-633-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "989-839-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487086880",
            "country_code": "US",
            "telephone_number": "989-894-3000",
            "fax_number": "989-891-0497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGO",
        "first_name": "SCOTT",
        "middle_name": "JOSEPH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704206863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANA",
            "identifier": "100680",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01290769",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0872871",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hernan Maldonado, MD
• Fouad Malik, PA-C
• Mishaal Malik
• Stephanie Marie Mallord, N.P.
• Shawnee Rose Mangino, DC
• Kari Mann
• Chad H Mansour, MD
• Manual Therapeutics Inc
• Tina M. Marcellis, B.S.
• Madisyn March

• Certified Registered Nurse Anesthetist in Midland, MI
• Providers in Midland, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.